Loading...
HomeMy WebLinkAbout020-1349-07-000 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner Property Address 2.2 a A City /State AUNTY Legal Description: 70NiN(,0FFICE Lot Z Block Subdivision/CSM # .� >�• a` "' ' , 1 _ ) 1 /4, Sec. a4, T 4' N -R /Q W, Town of A/4 e' �'e.� PIN # P ' �r �O? -a� t/4 �' � SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer estfi -s/ Size ST/PC / - Setback from: House -- Well P/L Pump manufacturer & ° ' J y.L/ Model L--Z2e6l Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: c Width Length 113 Number of Trenches �— Setback from: House Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark Elevation e a Description of alternate benchmark <z a b Elevation Building Sewer . 5 ST/HT Inlet ST Outlet 91 1 .5 - PC Inlet PC Bottom G d Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) �P/, . 0 O !& ,� / ( ) Bottom of System( � -?0 Final Grade Date of installation (0/QZ Permit number 3 NJ 55 State plan number Plumber's signature /_ c License number 7��D` Date Inspector Complete plot plan e X NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. LAN VIEW y �Y �r 9 � ` �C S .p J 0 INDICATE NORTH ARROW Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County r / INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) S 338 Pe ICROIX Personal information you provice may be used for secondary purposes (Privacy L s.15.04 (1)(m)]. Per g I g�'s ► �eCHARD El Cihj a�(& e Town of: State Plan ID No.: CST BM Elev. :. v Insp. BM Elev.: BM Description: Parcel T x O 349 -07 -000 'Pipe A.0-0-0-0345 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septi c �� Sb Benchmark 2 -7- 16 .Z Moe! osing h'1 r�WCS�C✓is. ftcw 42- c> C7 A 5 M �PS• L r Aeration Bldg. Sewer �3• �, Holding ky Inlet TANK SETBACK INFORMATION 'St/ Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake `7• l �l• I Septic -I u!� P// . NA Dt Bottom Dosi n {- pcJ 1 ' NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATIO .�;L Final Grade t{,7 Manufacturer 6_2 w j e, Demand �; �.�5 Model Num e o 4 t_16 GPM TDH Lift Friction p System/ TDHS 6 ( oss Forcemain Length ?j I Dia. H Z " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Dep DIMENSION S ) 157 Z- DIMENSION SYSTEM TO P/L I BLDG WELL LAKE /STREAM LEACHI Manufacturer: SETBACK CHA BER INFORMATION Type 1 Model Number: Syst t`o 3 6 OR U )IIT DISTRIBUTION SYSTEM Header /Man Id / J Distribution Pipe(s) � x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length / / S Dia. y Spacing f''S 1 �+^ 'Z Z �p 4 S SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑Yes E] No El Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: �`�, ``./HUDSON 26.29.19.1883 7 2 3 A& B BLUE JAY LN - BROWNS OWNS R LOT 7 �WP ++Cask - I S gi p 5j y aj•3 I S — AOUS bP_&,ae&A K s - C.t,.. v u f K ' 6 { t�k.. 4 ��-S 1 w �, S •c . CX �l o ri py� V C / �ZC .e� Plan revision requir6d? Yes ❑ No Use other side for additional information. 3 2jc 00 SBD -6710 (R.3/97) Date Inspecto s Signature Cert. No. I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r a � F .q u, i d � F a } m q e € S S � , 3 E ; i .�m _. �. .. � E t 1 3 , a 1 d e 1 y 3 P Z 3 } E S � j f � �. ....,... as ...�,... ....m.. ............. _. M.�® m..,..,.,.. .q. .� .... ........,....i ^ Fm [ d m m a 3 . g.„ t t a � C —J - 9 a Safety and Buildings Division Visconsi SANITARY PERMIT APPLICATION 2 1 B Washington Avenue Department of Commer In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. X • See reverse side for instructions for completing this application State Sanitary Permit Number 3 . 3 � Personal information you provide may be used for secondary purposes ❑Check if rewsiorTto prev7ou9applicacion [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location W 1/4��Qf 1/4, S 2C T 44 , N, R /qE (or) Property Owner's Mailing Address Lot Number 7 Block Number / , e e City, State Zip Code Phone Number Subdivision Name or CSM Numb r II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road ❑ Village Public a 1 or 2 Family Dwelling - No. of bedrooms _(e_ Town OF ,v �e_ III BUILDING USE (If building type is public, check all that apply) Parcel Tax Numberlsl _ - � 1,9 , en 3 Gw 1 ❑ Apartment / Condo 1 — 10 Z'"vOd 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales / Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. g New 2 ❑ Replacement 3 ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ® Seepage Trench 22 ❑ In- Ground Pressure i 42 ❑ Pit Privy 13 ❑ Seepage Pit s X II 3 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day P P 9 S 2. Absor . Area 3. Absor . Area 4. Loading Rate 5. Perc. Rate 6. stem Elev. 7. Final Grade Y Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) ?8r GS Elevation fed f fj2 C Feet V. (6 VII TANK in Capacit Total # Of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Sep Ic Tank o ® ❑ ❑ ❑ I ❑ ❑ ift Pump Tank /S h67t7r mbef .HOC) t' jh .'a/u�tsT��.v ❑ El 13 11 ❑ 1:1 VIII. RESPONSIBILITY S ATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Is Plumber's Name: (Print) Plumber's Signature: No Stamps) /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, Sta e, Zip Code): ,d2,�r IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing A n Si ature (No Stamps) Approved [:]Owner Given initial , hargeFee) e Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber 1 INSTRUCTIONS 1 _ A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. II IA dO f . sGoc4e.1 — YO PA(A _- G F PUMP CHAMBER CROSS SEC T IOIJ AUD SPECIF ICAFIWT'S VC KJT CAP `i C.I. VENT PIPE WEATHERPROOF APFROVED LOCKIAIC> � 25' FROM DOOR, JUIJCTI0IJ BOX MAIJHOLE COVEF, WIIJDOW OR FRESH 12 "MIU. AIR IAJTAKE GRADE I y.. MIIJ. i COUDUIT - - 16 "MIIJ. s1 IMLET PROVIDE AIRTIGHT SEAL A I I I I ALARM 6 I 11 I I C *APPROVED i ow JOINTS WITH ELEV. FT APPROVED PIPE 3' ONTO PUMP -� ` j OFF D SOLID SOIL CO►JCRETE DLOCK RISER EXIT PERMITTED OIJLy IF TAIJK MAUUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFIC_ATIOUS DOSE TAWKS MAWUFACTURER: Lde s ter/ -d IJUMBER OF DOSES: -PER DAy TAWK SIZE: dd GALLOMS DOSE VOLUME �y ALARM MAAIUFACTUFLER: g4eVe_ -rV,., IMCLUDIIJG BACKFLOW: �y��� G GALLON' MODEL 1JUMBER: 17.t CAPACITIES: A = fy IAlCHE5 OR c GALLOW° SWITCH TYPE: f1'JrUc F} < B= _1�IIJCHESOR �GALLOAJ. PUMP MAMUFACTURER: C= Z imr OR 61" GALLOIJ`. MODEL NUMBER: pd �/ D- _ INCHES OR - GALLOW. SWITCH TYPE: MOTE: PUMP AMID ALARM ARE TO BE j MIMIMUM DISCHARGE RATE yD GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKENCE BETWEEM PUMP OFF AND DISTRIBUTIOM PIPE.. Z_ FEET + MIIUIMUM NETWORK SUPPLY PRESSURE . , , , , , , , , , , Jtg& FEET + 6O FEET OF FORCE MAIN X G� F /IOp FLFKICTIOU FACTOR. J - g 7 FEET TOTAL DYNAMIC. HEAD = s? FEET 6 Saw INTERAJAL DIMEIJSIOWS OF TAIJK: LEAIGTH _ ;WIDTH d ;LIQUID DEPTH _ SIGIJED: � ��1� LICEOSE NUMBER: 227f DATE: Gould ubtne `Sibie- Effluent Pu irip 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: manual operation. . Automatic and float switch attachment • Heavy duty sump g p models include Mechanical • EPO4 Single h 0.4 HP, points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. • EP05 Sin phase: 0.5 HP, ■Bearings: Upper and lower in SPECIFICATIONS 115 V, in Hz, 1550 RPM, FEATURES heavy duty ball bearing construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design 3 /4 " maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. $P Canadian standards association • Total heads: up to 24 feet. with three prong grounding _ ■ EP05 Impeller: Thermo- • Discharge size: 1 1 /2 " NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in °F or "AC.) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET -- _— _ -____. __,_____ stainless steel. 10 • Capable of running dry without damage to s 30 �.- -5GPM - - - -- — components. Pump: EP05 s X2.5 Fr • Solids handling capability: 0 7 25 -°-- -- 3 /4 " maximum. a _ • Capacities: up to 60 GPM. _ ' •Total heads: up to 31 feet. 6 20' - - - - -- - — -T - -- - -— ' — — -- • Discharge size: 1 Yi' NPT. z 5 ! - _ • Mechanical seal: carbon- rotary/ceramic- stationary, 4 15- — - - EPOS Temp eratu re : atomers. ~ 3 10 - a • - - - - -- < -- �- - - - - - - - -- - - - - -- 104 0 F (40 °C) continuous EPO4 _ 140 °F (60 °C) intermittent. 2 1 0 - -- � r -- - — 00 10 20 30 fl 50 GPM L -L 0 2 4 6 8 10 12 ml /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 PIA71 •Wiscorfsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page / of Bureau of Integrated Services �Qcr]� nc S. ILHR 83.09, Wis. Adm. Code � }q County Attach complete site plan on paper not less �M 1/2x to s size. Pla�must include, but not limited to: vertical and hori refere=414), direction and e percent slope, scale or dimensions, north r and location and distance to nearest road. Parcel I.D. # J APPLICANT INFORMATION - pi intWiFilAr Matron Re ' wed by Date Personal information you provide may be used fo p�y (m)). aw C]Gj O Property Owner C II ��U..ttFFh G Property Location t ll i 't ' I -� '. �rw Govt. Lot _S 1 4f 1 /GV 1/4,S� ( T N,R I E ( °f) Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# l3 City State Zip Code Phone Number Nearest Road ❑ City ❑ Village ® Town L n Q 1, v 30-\/ o yo! (7� s) y�j - G 23/ /�vd ® New Construction Use: E�j Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 0 0 gpd Recommended design loading rate # 7 bed, gpd /ft trench, gpd /ft Absorption area required 11:8S2 bed, ft lla5 trench, ft Maximum design loading rate . -7 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) Pfr'nnk ry el ey. 8 &S ft (as referred to site plan benchmark) Additional design /site considerations Lf . e eu, M IA's Parent material &11A r_ c_ 0 V-k,00 ,$ h- Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S U Im S ❑ U OS ❑ U pg- S ❑ U ❑ S U� U ❑ S 1�1 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench WIX LS - . 6 Ground $b�� — CS 7 elev. Depth to limiting (� factor „ '7j - ?O in. I Remarks: y•t 44 VA SI 1 f Boring # 3 -rZl !G it 6 — CIS -7 . Ground p elev. Depth to limiting factor 7-[Z-Lin. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number G 'e -CY + oz l� /z .5- 330 PROPERTY OWNER - (24 SOIL DESCRIPTION REPORT Page -6�— of . 3 PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. 9t. Depth to limiting factor �-L6�5 in. �v Remarks: b.L Boring # Ox ir 3 L- I rnabk M-�Qc` C S l Ground elev..� Depth to n . , limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # j 0.40 � 10-46 16 r Y0419 '00 m 5 ns M 1 C-5 .7 • �' Ground elev. , Depth to limiting factor in, Remarks: Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: SBD -8330 (R. 07/96) r 0 6 0 01 , o 0+3 a c� I e tU. 98.E I CV. 4• ? �� N 1 R s v. T58 6S 1 •B — _ _ gwl `It. o5" � f C5Z � Dvpf I • � � � Bwt�'2 �ou�� I r r � � 6H � �_ _ _ Y ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address f�.53 A44 64 /yew tr � d .s��� !� >� _� IkGl Property Address 7;? 3 ,�� � u� T� �. �✓� ��� (Verification required from Planning Department for new construction) S- M G City /State IV_a t 501e Parcel Identification Number 02,0 /9Y 0 7 LEGAL DESCRIPTION Property Location - 1 /4, S'� '/4, Sec. Vg ,, T - 4Zf N -R_Z _ Town of M elicV'4,/ Subdivision A /s pa Lot # Certified Survey Map # , Volume . Page # Warranty Deed # S d'��- /37 , Volume Page # y s:�r Spec house ❑ yes El no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe the undersigned rsi ed have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 day of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL 13 PAGE 4 7 J ` 5 81439 STATE BAR OF WISCONSIN FORA 2 — 1982 WARRANTY DEED DOCUMENT NO. __J�tid__J�G�ILeja� a si le_I)e - -- -- - - - - -- - -- - -- - ST. CRO!X CO., WI coneys and warrants to Richard 0. Stout and J anet P._SI - i t — JUN 2 2 199$ 1 -- - -- ` _ — h U ��� �er_,3$.� ttrvivorshi mari to 8:00 A M ro --- "— `— `— - -- --IS SPACE RESERVED FOR RECORDit.G DATA %,D Q -TURN ADDRESS the fullo\\ing described real estate in _ St. Cr oix_ — County CF`, L- y State of Wisconsin. r 020- 1072 -60 _ ?x;CEL DENTIFCATiON NUMBER i That part of S§Wk, Sec. 26- T29N -R19W described as follows: Lot 2 of Certified Survey Map recorded in Vol. 11 of Certified Survey Maps, page 3036 as Doc. Na. 538112. Together with a 66 foot access easeit from Kinney Road to the Easterly boundary of the above described property. a TRANSFER � V This 1 � not homestead property. XX% , tti not` Exception t.) warranties Existing highways, easements and rights of way of record. Dated this - -___ day of — June A D . la 98 (SEAL) / / - -- (SEAL) -- - - - -- — •D avid J. e la -- -- (SEAL) — _ (SEAL) — - 4. AUTHENTICATION ACKNOWLEDG`IENT Signalure(s) _— State of %Visconsin, r - -- - - - -- -- — - s L o V Counq z aUllti ill li :lled lit ii - -._ —_— da}' of Personal!y c.imc 'v forc me this � __ day of June _. 19 98 the above named - - -- -- - - - - -- — — Richard J . G_� sin & le_pors — yr II nr:. na!:on_cd h 70h 0o, \ \'i< mat$) - -- - \ \:: \k n) me M Pv { r , - 1 t, . — ._ who c Bl4 �trun t.; _:,d ac thr >antc o , THIS N \:AS ORAFTtp BY kL _ c�ttorney._pavid. J. TVIAUREEN t ' __3D4_.Locust_S_treet, Hudson.,. �,I �� 5lt1SHEl - - - - t rantrrs ma. Ix authc::;t +acid m a,. no\\icdgcd 1 11 1 ". , �Ltrt naw to \,I;cu��n \ \. \RR. \\ Il IH tl) Form No.: 1 . I I 3 UNPLATTED_LANDS__ i S89 'E 2650,33' �— CENTERLINE 2085 BLUE JAY LANE 589 "i \ O � I I I — ........... ' .. W ............ i .............. co i �o cn MI p S89'50'20 "E 6 0 ° 0 6 �► � ^ Q 46.73' z S89 "E m cu ' ^ w 100.10' 2.500 V EASEMENT �' S6 S'o 4 - 0 n- C �'� -- U N89' 'W F 2 0 I I U F CD 168.94' S p6 ' :0 u � 0 Tllr ,', RM WATER Z. 3,039 AC ENTION AREA 132,401 SO. FT, 38 0 = 99L9 o TWIN HOME LOT .o Z. 6 3 z v 5 N �- o N m 3 LJ 3.174 AC. Z = = z CD 1 SQ. FT, �- M TWIN HOME LOT Q o 4 � 8 z 3.613 AC. H N x,399 SQ. FT. w 3.120 AC. IN HOME LOT w 135,892 SQ. FT. ~ TWIN HOME LOT U o 0 Li z .z ` A • F NO N W • � 3 � STORM WATE N -24, RETENTION AREA _� -- d. H,W.L: •= 1005.0 1 21. � 2 88, p3• C `•2